Basic Information
| Provider Information | |||||||||
| NPI: | 1174854822 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESHAGHIAN | ||||||||
| FirstName: | SHAHRYAR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 WIMBLETON LN | ||||||||
| Address2: | |||||||||
| City: | GREAT NECK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110231335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163133319 | ||||||||
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| Practice Location | |||||||||
| Address1: | 234 E 149TH ST | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104515504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2010 | ||||||||
| LastUpdateDate: | 08/26/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 258101 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 258101 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 208M00000X | 258101 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 258101 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.